Organization
MATERNAL WELLNESS CENTER LLC
Active
Other names
Maternal Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLIE L. WICKLUND MA, LPC, PHM-C (OWNER / DIRECTOR)
(267) 432-2374
Entity
Organization
Contact information
Practice address
67 BYBERRY RD, HATBORO, PA 19040-3205
(215) 649-9916
Mailing address
88 W WASHINGTON LN, PHILADELPHIA, PA 19144-2602
(267) 432-2374
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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